| NPI | 1851920383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 13657) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0007868) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2026-04-14 |